c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Metacarpotrapezial Osteoarthritis and Shepler Repair: 34

A D V E R T I S E M E N T

   
 

Despite a break-up of the flange, the great toe prosthesis was still able to function as a spacer, which meant that functional results often remained good and they rarely had to be replaced.       

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Metacarpotrapezial Osteoarthritis and Shepler Repair: 35

A D V E R T I S E M E N T

   
 

Because of the problems with dislocation of the Swanson prosthesis (which articulated with a small portion of the distal scaphoid), the silastic "great toe" interposition (which lay on a much larger surface of the flattened trapezium) was even made even more stable by a ligament reconstruction, often utilizing a portion of the abductor pollicis longus (APL).      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Metacarpotrapezial Osteoarthritis and Shepler Repair: 36

A D V E R T I S E M E N T

   
 

Failure of the silastic prosthesis led to utilization of native tissue (fascia, tendon) as spacers. The earliest version of this approach was reported by Froimson et. al. in 1970, and used the adjacent flexor carpi radialis tendon.       

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 4/1/1999.